Impact of Ebola outbreak on reproductive health services in a rural district of Sierra Leone: a prospective observational study.

ABSTRACT:

Objectives

To assess the trends concerning utilisation of maternal and child health (MCH) services before, during and after the Ebola outbreak, quantifying the contribution of a reorganised referral system (RS).

Design

A prospective observational study of MCH services.

Setting

Pujehun district in Sierra Leone, 77 community health facilities and 1 hospital from 2012 to 2017.

Main outcome measures

MCH utililization was evaluated by assessing: (1) institutional deliveries, Cesarean-sections, paediatric and maternity admissions and deaths, and major direct obstetric complications (MDOCs), at hospital level; (2) antenatal care (ANC) 1 and 4, institutional delivery and family planning, at community level. Contribution of a strengthened RS was also measured.

Result

SUBMITTER: Quaglio G 

PROVIDER: S-EPMC6731846 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature